Transcription

2 Cardiac rehabilitation is an effective and safe therapy to be used in the management of clinically stable people following myocardial infarction or percutaneous coronary intervention or who have heart failure. (Anderson L, Taylor RS. Cochrane Database Syst Rev. 2014) Treatment options for cardiac patients have evolved over the years and are more evidence-based. There is a paucity of knowledge of the changing characteristics of the patient who commences cardiac rehabilitation today compared to yesteryears, especially in Australia.

5 To examine changes in patient s clinical characteristics, risk factor profiles and medication usage who entered a hospital-based cardiac rehabilitation (CR) program over a period of 20 years.

6 We reviewed and analysed our patients clinical data collected prospectively from January 1995 to December This included age, gender, entry diagnosis, risk factor profiles, functional capacity, and medication usage, Ten time points of two years duration were selected for comparison of data over this time period. Comparisons were made with similar studies involving trend analysis in CR. Statistical analysis was made using non-parametric tests (Kruskal-Wallis H Test and Mantel-Haenszel Test) for linear trend and correlation. Statistical significance was determined at p<0.05. Analysis was performed using the SPSS software version 19 (IBM SPPS).

18 This study highlights the changing face of the cardiac patient entering into CR. Despite this study having some congruency with previous studies, novel findings including antidepressant, anti-arrhythmic, anti-coagulant, CCB and nitrate usage, and indicators of quality of life including depression, has not previously been evaluated for temporal trends in CR.

19 The study highlights the importance of data collection via a minimum dataset for outcome measures in CR. This study also has implications in regards to staff training and CR program redesign for future requirements to meet patient needs and demands. The increasing burden of disease as well as the increased usage of evidence-based interventions, especially cardio-active medications, define the patients accessing CR today and into the future.

30 Note: There is a break in the time series for statins because the defined daily dose (DDD) for some statins changed between 2006 and However, the DDD/1,000/day based on the new DDD are available from 2005 and therefore the break in the time series is shown here from Supply of serum-lipid-reducing agents in the community, Sources: AIHW: Senes & Penm 2007 based on data from the Drug Utilisation Sub-Committee database, DoHA; DoHA 2009a; DoHA 2009b; and DoHA 2011.

SUPPLEMENTAL MATERIAL Table S1. The logistic regression model used to calculate the propensity score. Table S2. Distribution of propensity score among the treat and control groups of the full and matched

Listen to your heart: Good Cardiovascular Health for Life Luis R. Castellanos MD, MPH Assistant Clinical Professor of Medicine University of California San Diego School of Medicine Sulpizio Family Cardiovascular

January 2012 Purpose of the Project The human and financial costs of cardiovascular disease are enormous. Heart disease is the leading cause of death for men and women in the United States and was estimated

Cardiac Rehabilitation: An Under-utilized Resource Making Patients Live Longer, Feel Better Marian Taylor, M.D. Medical University of South Carolina Director, Cardiac Rehabilitation I have no disclosures.

Main Effect of Screening for Coronary Artery Disease Using CT Angiography on Mortality and Cardiac Events in High risk Patients with Diabetes: The FACTOR-64 Randomized Clinical Trial Joseph B. Muhlestein,

Chapter Three Accountable Care Organizations One of the most talked-about changes in health care delivery in recent decades is Accountable Care Organizations, or ACOs. Having gained the attention of both

KIH Cardiac Rehabilitation Program For any further information Contact: +92-51-2870361-3, 2271154 Feedback@kih.com.pk What is Cardiac Rehabilitation Cardiac rehabilitation describes all measures used to

1 NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Guideline title SCOPE Hypertension: clinical management of primary hypertension in adults 1.1 Short title Hypertension (partial update) 2 The remit

How can registries contribute to guidelines? Nicolas DANCHIN, HEGP, Paris Pros and cons of registers Prospective randomised trials constitute the cornerstone of "evidence-based" medicine, and they therefore

AVAILABILITY AND ACCESSIBILITY OF CARDIAC REHABILITATION SERVICES IN LOW- AND MIDDLE-INCOME COUNTRIES QUESTIONNAIRE To be completed by Staff Cardiologists at an adult cardiac institute/department. INSTRUCTIONS:

Cardiac Rehabilitation An Underutilized Class I Treatment for Cardiovascular Disease What is Cardiac Rehabilitation? Cardiac rehabilitation is a comprehensive exercise, education, and behavior modification

South African Cholesterol Guidelines Compared Jacqueline van Schoor, Amayeza Info Centre While infectious diseases are currently the leading cause of death in South Africa, cardiovascular disease (CVD)

EMR Tutorial Acute Coronary Syndrome How to find the Acute Coronary Syndrome AAA Home Page 1 of 26 Master Tool Bar Icon When the Template button is clicked you will be presented with the preference list.

Risk Engines in Diabetes Martin Bland Prof. of Health Statistics University of York http://www-users.york.ac.uk/~mb55/msc/ What is a risk engine? A fancy name for a prediction of risk from the characteristics

CARDIAC REHABILITATION Winnipeg Region Annual Report 2013-14 PROGRAM OVERVIEW The Cardiac Rehabilitation Program (CRP) operates out of two medical fitness facilities in Winnipeg, the Reh- Fit Centre and

2012 HEDIS 2012 A Detailed Data Set From the Year 2011 Commercial Product We are pleased to present the AvMed HEDIS 2012 Report, a detailed data set designed to give employers and consumers an objective

Below is a list of the current Care Reminders shown in the Patient Care Summary Clinical Messaging section of the Availity web portal. These Florida Blue clinical alerts are based on claim data and are

Special Report The ACC 50 th Annual Scientific Session Part Two From March 18 to 21, 2001, physicians from around the world gathered to learn, to teach and to discuss at the American College of Cardiology

Fact sheet number 12 The National Cardiovascular Intelligence Network Cardiovascular disease key facts Coronary heart disease (CHD) and heart failure This fact sheet is one in a series which outlines some

Epidemic of coronary heart disease and its treatment in Australia The Australian Institute of Health and Welfare is Australia s national health and welfare statistics and information agency. The Institute

One Year Follow-Up Results from AUGMENT-HF: A Multicenter Randomized Controlled Clinical Trial of the Efficacy of Left Ventricular Augmentation with Algisyl-LVR in the Treatment of Heart Failure* Douglas

MISSING DATA ANALYSIS AMONG PATIENTS IN THE PINNACLE REGISTRY In order to improve the efficiency of PINNACLE Registry data analytics, a missing data analysis has been conducted on PINNACLE Registry data

The BEAUTIFUL Study Backgrounder About the BEAUTIFUL study The BEAUTIFUL (MorBidity-mortality EvAlUaTion of the I f inhibitor Procoralan in patients with coronary disease and left ventricular dysfunction)

The Burden of Chronic Disease One of the greatest burdens on the US healthcare system is the rapidly growing rate of chronic disease. These statistics illustrate the scope of the problem: Nearly half of

Component of Statistics Canada Catalogue no. 82-625-X Health Fact Sheets Article Heart health and cholesterol levels of Canadians, 2007 to 2009 March How to obtain more information For information about

Chronic Kidney Disease (CKD)Management in General Practice SUMMARY GUIDE Early detection of CKD using kidney health check Who is at higher risk of kidney disease? Age > 50 years Diabetes High blood pressure

Goals of This Course Be able to understand a study design (very basic concept) Be able to understand statistical concepts in a medical paper Be able to perform a data analysis Understanding: PECO study

Depression in patients with coronary heart disease (CHD): screening, referral and treatment Screening, referral and treatment for depression in patients with CHD A consensus statement from the National

A WorkLife4You Guide Heart Attack: What You Need to Know What is a Heart Attack? The heart works 24 hours a day, pumping oxygen and nutrient-rich blood to the body. Blood is supplied to the heart through

ABELMed EHR-EMR/PM version 12, an ONC HIT 2014 Edition Complete EHR, has been certified for the following 42 clinical quality measures (CQMs). The information contained in this document is also available

Acute Coronary Syndrome What Every Healthcare Professional Needs To Know Background of ACS Acute Coronary Syndrome (ACS) is an umbrella term used to cover a spectrum of clinical conditions that are caused